Clear, engaging, and practical updates on clinical psychiatry. Hosted by Chris Aiken, MD, and Kellie Newsome, PMHNP. Earn CME for listening at www.thecarlatreport.com/podcastcme
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Top 10 Findings of Past Year: Treatment Resistant Depression and Benzos
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We count down the top 10 research updates of the past year with a focus on treatment resistant depression and benzo withdrawal. CME: Take the CME Post-Test for this Episode Published On: 10/14/2024 Duration: 19 minutes, 35 seconds Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial compani…
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KarXT (Cobenfy) is the first antipsychotic that doesn’t block dopamine. We trace the origins of this new drug to a South Asian herb used for over 5,000 years, up to the three EMERGENT trials that led to its FDA approval. CME: Take the CME Post-Test for this Episode Published On: 10/07/2024 Duration: 12 minutes, 28 seconds Chris Aiken and Kellie New…
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Basics of Office-Based Cognitive Behavioral Therapy for OCD
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Today, we are talking about using cognitive behavioral therapy to treat Obsessive-Compulsive Disorder in clinical settings. CME: Take the CME Post-Test for this Episode Published On: 09/30/2024 Duration: 20 minutes, 20 seconds Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial compan…
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A new medication is knocking on the door for FDA approval in PTSD, and it isn’t MDMA. We cover that, and 8 other off label medications. CME: Take the CME Post-Test for this Episode Published On: 09/23/2024 Duration: 27 minutes, 18 seconds Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial…
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Should we follow the FDA and give SSRIs, or venture off label with the fabled prazosin? CME: Take the CME Post-Test for this Episode Published On: 09/16/2024 Duration: 18 minutes, 35 seconds Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activi…
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Learn what therapies work for PTSD, what goes on in session, and how to prevent PTSD when your patient calls after a trauma. CME: Take the CME Post-Test for this Episode Published On: 09/09/2024 Duration: 16 minutes, 10 seconds Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies …
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Navigating the Transition to College
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The transition to college can be challenging for any adolescent, but when an adolescent has psychological conditions, or they're dealing with other mental health concerns, it is especially difficult to navigate this transition. CME: Take the CME Post-Test for this Episode Published On: 09/02/2024 Duration: 24 minutes, 47 seconds Joshua Feder, MD, a…
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Why do some people get PTSD after a trauma and not others? What goes on in the brain during PTSD. CME: Take the CME Post-Test for this Episode Published On: 08/26/2024 Duration: 17 minutes, 38 seconds Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educatio…
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Why do some people get PTSD after a trauma and not others? What goes on in the brain during PTSD. CME: Take the CME Post-Test for this Episode Published On: 08/19/2024 Duration: 16 minutes, 03 second Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this education…
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Congenital Disorders in Psychiatry: Screening & Management
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Today, we are talking about dysmorphology and genetic disorders in psychiatry. Dr. Marilyn Jones joins us to help us identify and understand these conditions. Dr. Jones tells us about the prevalence and diagnostic considerations for these conditions, such as 22q and Fragile X. Join us as we talk about the importance of early identification, genetic…
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Research updates on benzo discontinuation, iloperidone in mania, lithium, schizophrenia, ECT, a new circadian psychotherapy, and therapy for multi-trauma PTSD. CME: Take the CME Post-Test for this Episode Published On: 08/05/2024 Duration: 16 minutes, 10 second Chris Aiken and Kellie Newsome, PMHNP have disclosed no relevant financial or other inte…
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The Holmes Report looked at racial, social, and economic biases in psychoanalysis. Beverly Stoute, MD, shares the findings. CME: Take the CME Post-Test for this Episode Published On: 07/29/2024 Duration: 22 minutes, 11 second Chris Aiken, MD, Beverly Stoute, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in an…
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Beverly Stoute, MD, shares research on the origins of unconscious racial bias. CME: Take the CME Post-Test for this Episode Published On: 07/22/2024 Duration: 11 minutes, 12 second Chris Aiken, MD, Beverly Stoute, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this edu…
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Psychotherapy, Enactments, and Race
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We talk with Beverly Stoute, MD, about how unconscious racial biases play out between therapist and patient. CME: Take the CME Post-Test for this Episode Published On: 07/15/2024 Duration: 16 minutes, 40 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to…
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Ketamine Assisted Therapy Part III
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Kyle Greenway developed the Montreal Model to pair ketamine with psychotherapy. In this 3-part series, he shows us how to do it. CME: Take the CME Post-Test for this Episode Published On: 07/08/2024 Duration: 23 minutes, 38 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial com…
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Kyle Greenway developed the Montreal Model to pair ketamine with psychotherapy. In this 3-part series, he shows us how to do it. CME: Take the CME Post-Test for this Episode Published On: 07/01/2024 Duration: 18 minutes, 55 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial com…
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Kyle Greenway developed the Montreal Model to pair ketamine with psychotherapy. In this 3-part series, he shows us how to do it. CME: Take the CME Post-Test for this Episode Published On: 06/24/2024 Duration: 19 minutes, 13 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial com…
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An FDA panel just rejected MDMA assisted therapy. We look at the reasons why, and what this means for the future of psychedelic therapy. CME: Take the CME Post-Test for this Episode Published On: 06/17/2024 Duration: 25 minutes, 59 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commer…
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Did boundary violations sink MDMA assisted psychotherapy? We explore the reasons behind the FDA panel’s rejection of this psychedelic therapy. CME: Take the CME Post-Test for this Episode Published On: 06/10/2024 Duration: 20 minutes, 01 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any …
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Contingency Management with Dr. Dominick DePhilippis
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In today's episode, Dr. DePhilippis tells us all about Contingency Management: what it is, how it works, and its evidence for the treatment of stimulant use disorders. CME: Take the CME Post-Test for this Episode Published On: 06/03/2024 Duration: 43 minutes, 29 second Noah Capurso, MD, Dominick DePhilippis, MD have disclosed no relevant financial …
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(Wounded Healers) Impairment & Strength
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Clinicians who have lived with mental illness share how it impaired them - and strengthened them - on the job. CME: Take the CME Post-Test for this Episode Published On: 05/27/2024 Duration: 21 minutes, 50 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining …
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Throwback - The Bright Side of the Serotonin Gene
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As we delved into Carl Jung's archetype of the wounded healer last Monday, it reminded us of something we learned about the serotonin transporter gene. Has modern genetics discovered a pathway to the archetype? You be the judge in this throwback to a 2021 episode. CME: Take the CME Post-Test for this Episode Published On: 05/20/2024 Duration: 22 mi…
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(Wounded Healers) Empathy & Archetypes
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Clinicians who have lived with mental illness show us how to build a deeper empathy from our past wounds, starting with Carl Jung. CME: Take the CME Post-Test for this Episode Published On: 05/13/2024 Duration: 11 minutes, 14 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial c…
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(Wounded Healers) Guide to Self-Disclosure
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Clinicians who live with mental illness share the do’s and don’t’s of self-disclosure CME: Take the CME Post-Test for this Episode Published On: 05/06/2024 Duration: 21 minutes, 46 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activ…
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(Wounded Healers) Guide to the DSM
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14 clinicians with mental illness share how they ask patients about mania, depression, psychosis, OCD, panic disorder, addiction, trauma, and suicide. CME: Take the CME Post-Test for this Episode Published On: 04/29/2024 Duration: 20 minutes, 08 second Chris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests…
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What steps should clinicians take if psychopharmacologic treatments and school behavioral strategies are insufficient for managing a child with ADHD? We've all been there. ADHD, attention deficit hyperactivity disorder, of course, affects millions of children and adolescents worldwide and can significantly impact focus, impulses, and engagement wit…
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Stimulant Update with Dr. Brian Hurley
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In today's episode, Dr. Brian Hurley provides expert insights into the current state of stimulant use disorder, its implications across different regions, and available treatment options. CME: Take the CME Post-Test for this Episode Published On: 04/15/2024 Duration: 30 minutes, 43 second Noah Capurso, MD, Brian Hurley, MD have disclosed no relevan…
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Does psychiatry keep making the same mistakes? Edward Shorter gives us a historical perspective. CME: Take the CME Post-Test for this Episode Published On: 04/08/2024 Duration: 22 minutes, 16 second Chris Aiken, MD, Edward Shorter, PhD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pert…
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Viibryd has gone generic, but is it worth prescribing? We review all there is to know about vilazodone in this update from our #1 most read article of 2023. CME: Take the CME Post-Test for this Episode Published On: 04/01/2024 Duration: 12 minutes, 47 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other in…
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Deprescribing Anti-anxiety Meds in Older Adults
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All sorts of medications are prescribed for anxiety in older adults. Today, we look at when and how to discontinue them. CME: Take the CME Post-Test for this Episode Published On: 03/25/2024 Duration: 22 minutes, 47 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies …
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Dissociative Identity Disorder vs Plural Identity in Teens and Young Adults
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Today we are discussing dissociative identity disorder (DID) and related topics CME: Take the CME Post-Test for this Episode Published On: 03/18/2024 Duration: 17 minutes, 31 seconds Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.…
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Navigating Narcissistic Personality Disorder
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Today, I am discussing narcissistic personality with Dr. Frank Yeomans, a world leader in the psychotherapy of personality disorders. CME: Take the CME Post-Test for this Episode Published On: 03/11/2024 Duration: 31 minutes, 17 seconds Mark Ruffalo, MSW, DPsa and Frank Yeomans, MD, PhD have disclosed no relevant financial or other interests in any…
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SSRIs and Hydroxyzine for Avoidant Restrictive Food Intake Disorder
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Today, Avoidant/Restrictive Food Intake Disorder (ARFID) and its treatment modalities in the world of mental health are explored. CME: Take the CME Post-Test for this Episode Published On: 03/04/2024 Duration: 17 minutes, 23 seconds Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial …
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Today, we will be discussing the challenges of managing antipsychotic medications in children and adolescents. We will explore various strategies that aim to balance symptom relief with potential side effects, while also guiding towards personalized and safer treatment options. Join us in discovering the art of precision in pediatric mental health …
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Here's a Throwback Thursday episode originally cast in March of 2021, where we're going to look at the question of whether adding a z hypnotic improves antidepressant response. And stay tuned to the very end where I'm going to update it with new research. We all know that when you sleep better, you feel better. CME: Take the CME Post-Test for this …
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Dosing is not a collaborative venture when it comes to controlled substances, and here we look for the safe upper limits of stimulant dosing. CME: Take the CME Post-Test for this Episode Published On: 02/19/2024 Duration: 22 minutes, 23 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any …
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The release of the fast-acting antidepressant Auvelity got us thinking about an older strategy to speed up antidepressants, benzodiazepines. So we're bringing you this Thursday throwback, do benzodiazepines treat depression? Benzos and sleep meds rarely earn a mention in textbooks on depression these days, but that has not always been the case. Tod…
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Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at its side effects, addictive potential, and whether you can just use the generic components. CME: Take the CME Post-Test for this Episode Published On: 02/12/2024 Duration: 16 minutes, 44 second Chris Aiken, MD, and Kellie Newsome, PMHNP…
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Auvelity A Fast Acting Antidepressant
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Auvelity, a new rapid acting medication for depression, is a branded combination of two generic drugs. We look at how it works and the clinical trials, including new data in treatment resistant depression CME: Take the CME Post-Test for this Episode Published On: 02/05/2024 Duration: 14 minutes, 02 second Chris Aiken, MD, and Kellie Newsome, PMHNP …
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How to choose a mood stabilizer in older adults. CME: Take the CME Post-Test for this Episode Published On: 01/29/2024 Duration: 17 minutes, 40 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.…
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Bipolar disorder is different in the elderly. Today we look at the medical causes to watch out for. CME: Take the CME Post-Test for this Episode Published On: 01/22/2024 Duration: 12 minutes, 19 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this ed…
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Efficacy of Deep Brain Stimulation for OCD
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Have you ever wondered about using Deep Brain Stimulation, DBS, for kids dealing with Obsessive Compulsive Disorder, OCD? It's a hot topic among parents, but do we have enough evidence to back up this rather intense treatment? Let's dive in and take a closer look at deep brain stimulation. CME: Take the CME Post-Test for this Episode Published On: …
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We interview Stephan Jackman, whose company is developing a new formulation of lithium, and bring updates on lithium in younger, older, and peripartum patients. CME: Take the CME Post-Test for this Episode Published On: 01/08/2024 Duration: 16 minutes, 44 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or othe…
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A year of research on lithium, including updates on its efficacy, renal risks, tremor, and a controlled trial of instant vs. extended release CME: Take the CME Post-Test for this Episode Published On: 01/01/2024 Duration: 22 minutes, 06 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any …
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Evidence for Psychodynamic Psychotherapy
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In today’s podcast, we explore background knowledge, experiences, and misconceptions surrounding psychodynamic therapy and discuss how we define evidence for it with our guest, Dr. Jonathan Shedler. CME: Take the CME Post-Test for this Episode Published On: 12/25/2023 Duration: 52 minutes, 47 seconds Mark L. Ruffalo, MSW, DPsa, Jonathan Shedler, Ph…
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Understanding Callous and Unemotional Behaviors in Children and Adolescents
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Callous unemotional behaviors can be challenging to understand. One community study of 1136 children (from 3rd-7th grade) found that 10%–32% of those with conduct disorder and 2%–7% of those without conduct disorder met the callous emotional specifier threshold in the DSM-5. In this episode, we will discuss what callous unemotional behaviors are, h…
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Sigmund Freud’s theories are challenged by his granddaughter, Sophie Freud. CME: Take the CME Post-Test for this Episode Published On: 12/11/2023 Duration: 17 minutes, 53 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.…
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Sigmund Freud’s theories are challenged by his granddaughter, Sophie Freud. CME: Take the CME Post-Test for this Episode Published On: 12/04/2023 Duration: 13 minutes, 40 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.…
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Four Natural Therapies for ADHD (with Richard Brown)
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Richard Brown, MD, shows us how to use his top five natural therapies for ADHD: Pycnoginol, Rhodiola rosea, Racetams, American Ginseng. CME: Take the CME Post-Test for this Episode Published On: 11/27/2023 Duration: 21 minutes, 07 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commer…
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Around 50% of people with ADHD suffer from other cognitive problems, and Richard Brown, MD, describes them: 1) Working memory 2) Slow processing speed and 3) Dyslexia. CME: Take the CME Post-Test for this Episode Published On: 11/20/2023 Duration: 13 minutes, 25 second Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial …
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